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ECEADuesForm2016.docx
Handle: Document-93808
Owner: Sundstrom, Sarah (User-3946, 12634:EVERETT)DS
Wednesday, December 20, 2017 10:01:31 AM PST
Friday, July 2, 2021 10:45:49 AM PDT
Modified By: Diaz, Ailienette (User-392, 08810:EVERETT)DS
Locked By:
  • Union Membership Enrollment Form
Everett Coaches / Extracurricular Association Please send completed form toBrian Sachse/Eisenhower Middle SchoolName: __________________________ ____________________ Please Print Employee ID #I hereby request membership in the Everett Coaches and Extracurricular Association and authorize union membership dues to be withheld from my salary each pay period and transmitted to the treasurer of the union.
  • I agree that this authorization for payroll deduction shall be renewed each year thereafter unless written notice of revocation is given by me to the Everett Coaches and Extracurricular Association.
  • Signature:...
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ECEADuesForm2016.docx
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Preferred Version: ECEADuesForm2016.docx